11 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
• Ligament • Bone ... or nerve root Symptoms ... of Joint Disease ... #Pain #MSK #rheumatology ... #differential #diagnosis
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... Generally affects long ... • XR, MRI to ... Osteomyelitis / Septic Arthritis ... #diagnosis #causes
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Progressive URI ... sliding: Pulmonary ... disease, interstitial ... NOT definitively diagnose ... POCUS #clinical #ultrasound
Rheumatoid Arthritis - Signs and Symptoms
 • Ocular: Keratoconjunctivitis sicca, Episcleritis, Scleritis, Scleromalacia perforans
 • Pulmonary:
Rheumatoid Arthritis ... Scleromalacia perforans • Pulmonary ... : Parenchymal lung ... Bursa, Muscle, Bone ... #diagnosis #rheumatology
Clinical Manifestations and Diagnosis of Lyme Disease - Borreliosis
Erythema migrans
 - 3-32 days (median: 7-10 days)
Manifestations and Diagnosis ... of Lyme Disease ... missing in early disease ... swelling in one ... #Signs #Symptoms
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... Presentation: Systemic Symptoms ... • Progressive symptoms ... oligoclonal bands • MRI ... Palpable purpura, joint
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
muscle aches, joint ... extrapulmonary disease ... change in the lungs ... Meningitis, septic arthritis ... nails, bronchi, lungs
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... Framework Disease ... angioinvasive disease ... Constitutional symptoms ... Infections #HIV #AIDS #pulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... days before Pulmonary ... unless prior heart/lung ... events or death (CARP ... stratification #diagnosis
Langerhans Cell Histiocytosis (LCH)

Granulomatous Lesions comprising langerin-positive histiocytes and an inflammatory infiltrate can arise in virtually
Pulmonary Symptoms ... DIAGNOSIS • Imaging ... X-rays, CT, or MRI ... PET-CT / MRI: Staging ... is crucial in pulmonary